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I'm wondering if someone could help reassure me that I don't

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I'm wondering if someone could...
I'm wondering if someone could help reassure me that I don't have heart or cardiac related issues
Submitted: 1 year ago.Category: Cardiology
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Answered in 1 minute by:
7/28/2016
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: Cardiology
Satisfied Customers: 5,553
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
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Hi Matthew. What are your symptoms? How long have you had them?

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Customer reply replied 1 year ago
The following symptoms are on and off but chest pain, arm pain, racing heart, back pain, and neck pain
Customer reply replied 1 year ago
I'm mostly concerned about how my heart randomly speeds up at times
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

How long have you had these symptoms?

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Customer reply replied 1 year ago
About a month
Customer reply replied 1 year ago
Is it true someone couldn't raise their left arm if having heart issues
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

No, that is not true.

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Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Were you in good health before this started? Are you on any medications?

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Customer reply replied 1 year ago
Is it true that usually someone would be sweating, dizzy, throwing up, and feeling very cold
Customer reply replied 1 year ago
I was and still am in very good health. I'm 140 pounds, 5'10", eat healthy, don't smoke, and occasionally drink
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Those are all classic symptoms of a heart attack, but they need not be present. Some heart attacks are silent.

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Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Any early heart attacks in your family?

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Customer reply replied 1 year ago
Would you worry about a silent heart attack at someone my age?
Customer reply replied 1 year ago
but with smokers mainly
Customer reply replied 1 year ago
I just saw that you said early heart attacks and would like to say that we haven't had early heart attacks
Customer reply replied 1 year ago
The only heart attacks are with people that smoked
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

There are many different types of cardiac disease, but heart attacks are rare in otherwise healthy individuals your age...unless there are drugs involved.

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Customer reply replied 1 year ago
Could unexplained weight loss be a symptom of a possible cardiac issue
Customer reply replied 1 year ago
Furthermore given that I don't smoke or do drugs would you even worry about cardiac issues
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Unexplained weight loss could be from diabetes, an undiagnosed thyroid condition, a severe anxiety disorder or depression, a GI condition in which there is malabsorption, etc....You need to have basic blood tests done to rule these things out.

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Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

I would also suggest you get an electrocardiogram to look at your heart rhythm.

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Customer reply replied 1 year ago
Okay but a month or two ago I had blood tests done and everything showed up as being perfect
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Why were they done?

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Customer reply replied 1 year ago
I even had two or three doctors tell me they wouldn't even do an EKG
Customer reply replied 1 year ago
They were done because I wanted to make sure that everything is fine
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

And that is what they showed.

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Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

An EKG would be easy to do and would add to your level of reassurance if normal, which is likely.

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Customer reply replied 1 year ago
even though I have pain on the left side of my chest at times and have a racing heart the test would likely be fine
Customer reply replied 1 year ago
I mean I'd likely show I don't have heart issues
Customer reply replied 1 year ago
I was told that heart issues likely wouldn't come and go
Customer reply replied 1 year ago
Is that true?
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

The test would be most helpful if you were having symptoms at the time. A sinus tachycardia or PSVT might indicate anxiety or too much caffeine. Afib, Aflutter or a ventricular rhythm would be cause for concern.

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Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Cardiac symptoms can come and go, even if the underlying condition doesn't.

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Customer reply replied 1 year ago
Would the symptoms come and go for months
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

They could...but usually there are other symptoms or other medical conditions asssociated with the heart disease.

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Customer reply replied 1 year ago
you wouldn't worry too much given what I've told you
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

While the symptoms may come and go, a person's overall clinical situation usually worsens over time without treatment. A doctor will typically be able to figure out what the cause is as time goes on. If one feels perfectly fine between episodes, and can function normally in all areas of life normal to a 24 year old, there usually is nothing serious going on.

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Customer reply replied 1 year ago
since this has been going on for a month or more I'd be pretty bad by now if cardiac related
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

So I wouldn't worry too much, but I would stay in close touch with your GP about your symptoms and any changes that might occur or any new symptoms that might arise.

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Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

I would ask him or her about doing a 24-hour Holter test. This is a test in which your heart rhythm is recorded continuously over a 24 hour period.

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Customer reply replied 1 year ago
I recently had a physical done and the doctor I saw told me that everything seemed normal at the time if that helps at all
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

That helps a lot. It sounds like you are doing the right thing and have been properly evaluated. The holter would be helpful if you could capture one or two of these episodes.

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Customer reply replied 1 year ago
the halter test would likely reassure me I'm fine
Customer reply replied 1 year ago
Given I haven't required hospitalization
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Yes, if it was normal, you could rest easy. If it looked consistent with anxiety, for instance, and nothing else, you could focus on getting that under control and not be burdened with unnecessary concerns about your heart.

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Customer reply replied 1 year ago
I've also felt I'm unable to breath at times
Customer reply replied 1 year ago
Honestly
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Anxiety disorders and panic attacks are very common in otherwise healthy young persons your age, and the symptoms are consistent, including chest discomfort, increased heart rate and shortness of breath. Many such anxiety sufferers describe a feeling of desperation and feeling like they might die. This is a very serious condition though not dangerous in most cases. It can be treated, and often remits for long periods (or forever).

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Customer reply replied 1 year ago
the fact that I've felt like I'm going to suddenly die and that I've had these symptoms show it's likely anxiety
Cardiologist: Dr. Bob, Medical Doctor replied 1 year ago

Yes. That would be at the top of the list of possibilities. This can be a very distressing, even terrifying condition, and just the fear of having an attack can trigger one, or make future attacks more likely. Ask your doctor for a referral to a mental health professional. This conditon can be effectively treated with medication and/or counseling/behvioral therapy. There is no need for you to suffer this way.

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